Subacromial shoulder pain (SSP) is really common, especially if you see an active population in your practice. This week’s Review brings us up-to-date on the evidence pertaining to conservative management - the results are encouraging for a chiropractic approach - manual therapy + exercise!
The clinical presentation of SSP involves pain and impairment of shoulder movement and function that typically occurs during shoulder elevation and external rotation (as in throwing or other overhead sporting activities). Structures implicated in the pathogenesis of SSP include the subacromial bursa, the rotator cuff muscles and tendons, the acromion, the coracoacromial ligament and capsular and intra-articular tissues.
Mechanical factors that have been hypothesized as contributing to the pathogenesis of SSP include altered shoulder kinematics associated with capsular tightness, rotator cuff and scapular muscle dysfunction, overuse due to sustained intensive work, and poor posture. Nonetheless, the pathogenesis may be multifactorial which has led to a variety of possible treatment recommendations .
The aim of this current review was to update these findings to determine whether recently published literature can deepen our understanding of the best approach for the clinical management of SSP…enjoy!
THIS WEEK'S RESEARCH REVIEW: “Effectiveness of Conservative Interventions for Subacromial Shoulder Pain”
This paper was published in JOSPT (2020) and this Review is posted in Recent Reviews, Shoulder and the 2021 Archive.
Subacromial shoulder pain